<!DOCTYPE html>
<html xmlns="http://www.w3.org/1999/xhtml" xmlns:th="http://www.thymeleaf.org"
      xmlns:sec="http://www.thymeleaf.org/thymeleaf-extras-springsecurity3">
<head>
    <title>处置笺</title>
</head>
<style type="text/css">
    p {
        font-family:"楷体";
        margin: 0;
        margin-top: 10px;
    }
</style>
<style  media="print" type="text/css">
    .noPrint{DISPLAY: none;}
</style>
<body>
<div>
    <div style="width: 20cm;" align="center">
        <div>
            <label style="font-size: 24px">南京展超丽格皮肤医疗美容诊所</label>
            <br/>
            <label>Drzhou's Cosmetic Dermatology institute</label>
            <br/>
            <br/>
            <label style="font-size: 24px">处置笺</label>
            <hr/>
            <table style="width: 100%">
                <tr>
                    <td style="width: 33%">
                        <table style="width: 100%">
                            <tr>
                                <td style="width: 50%">姓名</td>
                                <td style="width: 50%"><label th:text="${patient.name}"></label></td>
                            </tr>
                        </table>
                    </td>
                    <td style="width: 33%">
                        <table style="width: 100%">
                            <tr>
                                <td style="width: 50%">性别</td>
                                <td style="width: 50%"><label th:text="${patient.sex}"></label></td>
                            </tr>
                        </table>
                    </td>
                    <td style="width: 33%">
                        <table style="width: 100%">
                            <tr>
                                <td style="width: 50%">年龄</td>
                                <td style="width: 50%"><label th:text="${patient.age}"></label></td>
                            </tr>
                        </table>
                    </td>
                </tr>
                <tr>
                    <td style="width: 33%">临床诊断</td>
                    <td style="width: 33%">
                        <table style="width: 100%">
                            <tr>
                                <td style="width: 40%">日期</td>
                                <td style="width: 60%"><label th:text="${patient.date}"></label></td>
                            </tr>
                        </table>
                    </td>
                    <td style="width: 33%">
                        <table style="width: 100%">
                            <tr>
                                <td style="width: 30%">病历号</td>
                                <td style="width: 70%"><label th:text="${patient.medicalNumber}"></label></td>
                            </tr>
                        </table>
                    </td>
                </tr>
            </table>
            <hr/>
            <table style="width: 100%">
                <tr>
                    <td style="width: 50%">
                        <table style="width: 100%">
                            <tr th:each="item : ${data1}">
                                <td><input th:if="${item!=''}" type="checkbox" value="" />&nbsp;<label th:text="${item}"></label></td>
                            </tr>
                        </table>
                    </td>
                    <td style="width: 50%">
                        <table style="width: 100%">
                            <tr th:each="item : ${data2}">
                                <td><input th:if="${item!=''}" type="checkbox" value="" />&nbsp;<label th:text="${item}"></label></td>
                            </tr>
                        </table>
                    </td>
                </tr>
            </table>
            <br/>
            <br/>
            <table style="width: 100%">
                <tr>
                    <td style="width: 40%"></td>
                    <td style="width: 33%"></td>
                    <td>医师：_____________________</td>
                </tr>
                <tr>
                    <td style="width: 40%"></td>
                    <td style="width: 33%"></td>
                    <td>收费：_____________________</td>
                </tr>
            </table>
        </div>
    </div>
</div>
</body>
</html>